Company:

Contact:

Address:

City/State/Zip:

Phone:

Fax:

Email:

Order Type

Part Number

Rev

Dimensions

Length

inches *

Width

inches *

Thickness

Select .031 .062 .093 .125 Other *

Layers

Select 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 >24 *

If Other

If Other

Holes

Total Holes

*

# Sizes

Smallest

# Vias

Copper

Inner

Select .25 oz .5 oz 1.0 oz 2.0 oz 3.0 oz 4.0 oz

Outer

Select .5 oz 1.0 oz 1.5 oz 2.0 oz 3.0 oz 4.0 oz

Board Material

Line and Space

Line

Select Other .010 .008 .007 .006 .005 .004 .003

Space

Select Other .010 .008 .007 .006 .005 .004 .003

If Other

If Other

Silk Screen Sides

Select None One Two

Solder Mask

Select LPI Dry Film Wet-Screened

Plug Vias

SMT Pads

Top Side

Bottom Side

Pitch

Select .010 .015 .0195 .020 .025 .050 .100 Other

If Other

Advanced Features

Gold Finish?

Total Linear (Inches) Total Thickness Micro(Inches) Select 10 20 30 40 50

Selective Plating

Hard

Soft

Full Body Plating

Hard

Soft

Thickness in Micro (Inches) Please provide detailed area on a separate sheet.

Special Process

Score/V-Groove: 

# of Lines:

Edge Milling:

Counter Bore or Counter Sink: 

Impedance Controlled 

+- 5%

+- 10%

Blind or Buried

Board Layout

# UP Dimensions (X): ( Y):

Testing

Comparison

Net List

No Test

Quantity and Delivery Information

Qty Required

Delivery Request

Qty Required

Delivery Request

Qty Required

Delivery Request

Qty Required

Delivery Request

Qty Required

Delivery Request

Purchase Order
If you want to place this order immediately, please type your purchase order number, and a sales representative will call you upon receipt of this request for quote.

PO#

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